_id

683a164fc782e11e38d1b336

id

10462

title

American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS)

full_title

American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS)

short_title

AUA-SI/IPSS

med_description

Measures severity of benign prostatic hyperplasia (BPH) symptoms.

short_description

BPH severity.

slug

american-urological-association-symptom-index-aua-si

description

The American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS) measures the severity of benign prostatic hyperplasia (BPH).

keywords

American Urological Association Symptom Index (AUA-SI), International Prostate Symptom Score (IPSS), aua si, aua-si, auasi, ipss, i-pss, i pss, benign prostatic hyperplasia, bph, hyperplasia

complaint

[ "Bleeding", "Polyuria" ]

formula

The AUA-SI/IPSS is calculated by the addition of the selected points:

evidence

measurements

[]

information

Interpretation:

refrences

{ "Clinical Practice Guidelines": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/34384237/", "text": "Lerner LB, McVary KT, Barry MJ, et al. Management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: aua guideline part i-initial work-up and medical management. J Urol. 2021;206(4):806-817." } ], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/1279218/", "text": "Barry MJ, Fowler FJ, O’Leary MP, et al. The american urological association symptom index for benign prostatic hyperplasia. The measurement committee of the american urological association. J Urol. 1992;148(5):1549-1557; discussion 1564." } ], "Other References": [], "Outcomes": [], "Validation": [], "Validations": [] }

pearls

• Not intended as a screening tool for BPH.
• This tool does not differentiate between BPH and other causes of LUTS, such as bladder or neurogenic conditions, and should be used specifically in patients with LUTS and other evidence of BPH.

usecase

Use in the initial and follow up evaluation of lower urinary tract symptoms (LUTS) likely attributed to benign prostatic hypertrophy (BPH).

reasons

Provides a standardized assessment of urinary symptoms' severity and impact on quality of life. Helps determine the need for medical or surgical intervention based on symptom severity and patient distress.

next_advice

This tool should not be the sole determinant in BPH management but should be part of a comprehensive evaluation.

next_actions

next_management

• Mild symptoms (score 0–7): Often managed with behavioral and lifestyle modifications and routine monitoring.
• Moderate to severe symptoms (score 8–35): 
  
  • Consider alpha-blockers, 5-alpha-reductase inhibitors, antimuscarinics, beta-3 agonists, or combination therapy. 
  • For severe cases unresponsive to medical therapy, surgical options may be explored.
• Regularly reassess the patient’s score to monitor their response to treatment.
• Consider urology referral if symptoms are severe, progressive, or if there is suspicion of another pathology, like prostate cancer.

diseases

[ "Hyperplasia" ]

input_schema

[ { "conditionality": null, "default": 0, "label_en": "<p>Incomplete emptying: How often have you had the sensation of not emptying your bladder?</p>", "mdcalc_info_concept": null, "name": "incomplete", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Frequency: How often have you had to urinate less than every two hours?</p>", "mdcalc_info_concept": null, "name": "freq", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Intermittency: How often have you found&nbsp;you stopped and started again several times when you urinated?</p>", "mdcalc_info_concept": null, "name": "intermit", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Urgency: How often have you found it difficult to postpone urination?</p>", "mdcalc_info_concept": null, "name": "urgency", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Weak stream: How often have you had a weak urinary stream?</p>", "mdcalc_info_concept": null, "name": "weak", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Straining: How often have you had to strain to start urination?</p>", "mdcalc_info_concept": null, "name": "strain", "option_fhir_rules": null, "optional": false, "options": [ { "label": "Not at all", "value": 0 }, { "label": "Less than 1 in 5 times", "value": 1 }, { "label": "Less than half the time", "value": 2 }, { "label": "About half the time", "value": 3 }, { "label": "More than half the time", "value": 4 }, { "label": "Almost always", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "conditionality": null, "default": 0, "label_en": "<p>Nocturia: How many times do you typically get up at night to urinate?</p>", "mdcalc_info_concept": null, "name": "noct", "option_fhir_rules": null, "optional": false, "options": [ { "label": "None", "value": 0 }, { "label": "1 time", "value": 1 }, { "label": "2 times", "value": 2 }, { "label": "3 times", "value": 3 }, { "label": "4 times", "value": 4 }, { "label": "≥5 times", "value": 5 } ], "show_points": true, "tips_en": "", "type": "radio" }, { "inct": null, "option_fhir_rules": null, "subheading": "Quality of Life Due to Urinary Symptoms (optional)", "subheading_instructions": null, "type": "subheading" }, { "conditionality": null, "default": null, "label_en": "<p>If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that?</p>", "mdcalc_info_concept": null, "name": "quality", "option_fhir_rules": null, "optional": true, "options": [ { "label": "Delighted", "value": 1 }, { "label": "Pleased", "value": 2 }, { "label": "Mostly satisfied", "value": 3 }, { "label": "Mixed", "value": 4 }, { "label": "Mostly dissatisfied", "value": 5 }, { "label": "Unhappy", "value": 6 }, { "label": "Terrible", "value": 7 } ], "show_points": false, "tips_en": "", "type": "radio" } ]

instructions

published

2023-02-10T18:56:53.536Z

purpose

[ "Prognosis" ]

search_terms

[ "American Urological Association Symptom Index (AUA-SI)", "International Prostate Symptom Score (IPSS)", "aua si", "aua-si", "auasi", "ipss", "i-pss", "i pss", "benign prostatic hyperplasia", "bph", "hyperplasia" ]

seo

{ "keywords_en": "American Urological Association Symptom Index (AUA-SI), International Prostate Symptom Score (IPSS), aua si, aua-si, auasi, ipss, i-pss, i pss, benign prostatic hyperplasia, bph, hyperplasia", "meta_description_en": "The American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS) measures the severity of benign prostatic hyperplasia (BPH)." }

specialty

[ "Family Practice", "Hematology and Oncology", "Hospitalist Medicine", "Internal Medicine", "Urology" ]

departments

[ "Genitourinary", "Oncologic", "Urinary" ]

tags

[]

version_number

1

versions

[]

related

[ { "calcId": 10517, "short_title_en": "IOTA Simple Rules Risk Assessment", "slug": "international-ovarian-tumor-analysis-iota-simple-rules-risk-assessment" }, { "calcId": 10488, "short_title_en": "CNS-IPI", "slug": "central-nervous-system-international-prognostic-index-cns-ipi" }, { "calcId": 10490, "short_title_en": "NCCN-IPI", "slug": "national-comprehensive-cancer-network-international-prognostic-index-nccn-ipi" } ]

ismed

false

section

[ "whenToUseViewed", "pearlsPitfallsViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]

cleaned_departments

[ "urology", "oncology", "urology" ]

cleaned_use

[ "Use in the initial and follow up evaluation of lower urinary tract symptoms (LUTS) likely attributed to benign prostatic hypertrophy (BPH)." ]

pub

false